DR. MARK ANTHONY LIZAK MD
NPI 1790759934
Otolaryngology - Otology & Neurotology in Supply, NC

Q: What is Mark Lizak's NPI number?

The NPI number for Mark Lizak is 1790759934. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Mark Lizak's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Q: When was this NPI record last updated?

The NPPES record for Mark Lizak was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2006

14 MEDICAL CENTER DRIVE, SUPPLY, NC 28462(910) 754-2920(910) 754-2268 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Mark Anthony Lizak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ANTHONY LIZAK MD (NPI 1790759934) is an individual otology & neurotology provider in Supply, North Carolina, licensed in North Carolina (35760) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1790759934

Entity TypeIndividualMale

Primary Taxonomy207YX0901X

Provider Legal NameDR. MARK ANTHONY LIZAKCredential: MD

Location Address14 MEDICAL CENTER DRIVESupply, NC 28462-3350

Mailing Address14 Medical Center DriveSupply, NC 28462-3350 · (910) 754-2920 · Fax (910) 754-2268

Phone(910) 754-2920

Fax(910) 754-2268

Sole ProprietorNo

Enumeration DateFebruary 15, 2006

Last NPPES UpdateOctober 14, 2011

✔ NPI 1790759934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians

Taxonomy Code207YX0901X

License✔ Licensed in NC · 35760

Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

14 MEDICAL CENTER DRIVE, Supply, NC 28462

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Other Identifiers 4

Medicare ID-Type Unspecified2327682NC

Other0295NNC · Bcbs

Medicare UPINF20475

Medicaid8952324NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINAS EAR NOSE & THROAT CENTER

Otolaryngology (Otology & Neurotology)

14 MEDICAL CENTER DRIVE
SUPPLY, NC 28462

Brunswick County (910) 754-2920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Lizak's NPI number?

The NPI number for Mark Lizak is 1790759934. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Mark Lizak located?

Mark Lizak practices at 14 Medical Center Drive, Supply, NC 28462. The listed phone number is (910) 754-2920.

What is Mark Lizak's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

When was this NPI record last updated?

The NPPES record for Mark Lizak was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.